Kornelis, Ken
Kornelis, Ken is an sole proprietor health care provider with primary practice located at 15110 Boones Ferry Rd Ste 100E, Lake Oswego OR 97035-3452. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kornelis, Ken can be contacted via phone (503) 538-6045.Contact Information
Primary practice address
15110 Boones Ferry Rd Ste 100E
Lake Oswego OR 97035-3452
Phone: (503) 538-6045
Fax: (503) 538-1598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 872 | Oregon |
Profile Details
| NPI number | 1538360003 |
|---|---|
| LBN Legal business name | Kornelis, Ken |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Sep 15th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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